1558819540 NPI number — VERONICA MACIAS SURGICAL ASSISTING

Table of content: (NPI 1558819540)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558819540 NPI number — VERONICA MACIAS SURGICAL ASSISTING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERONICA MACIAS SURGICAL ASSISTING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558819540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4407 HANLEY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77093-2959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-653-2924
Provider Business Mailing Address Fax Number:
832-478-9266

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4407 HANLEY LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77093-2959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-653-2924
Provider Business Practice Location Address Fax Number:
832-478-9266
Provider Enumeration Date:
09/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MACIAS
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official Telephone Number:
281-757-2829

Provider Taxonomy Codes

  • Taxonomy code: 246ZC0007X , with the licence number:  148472 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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